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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit ApplicatIon <br />Building Department <br /> <br />tr111f <br /> <br />r-C:lX-O I.:J-/OU-VUL I <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name D .Q.< <br /> <br />Owner's ~ddress' / 5 () L9--Jg 'P1 <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />+- ~ F:t., >-S~ I <br />~iv.Q...Q..: Z.epA'I lILsownerPhoneNumber <br />I Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />!~Ig <br />I <br />B <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK LhQ. .....y C')o'f- ~ () tv) ~ <br /> <br />BUILDING SIZE I SQ FOOTAGE I A \tc> HEIGHT I <br />1111"'..'111""11111111111""111'11111"1111'1"'1'"'111"""'1"'111"'11111"'111111""'11'1""""1111"111"""'1111111""111111"", <br />1$ 5aS'o ~ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING c==J SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />III111111I111111I11111111111111111111I1I11111I1111111111111111111111111111111I1111111111111111111111111111111111111111111111111111I1111111I11111I1 <br /> <br />'o/h ~yJ:J- ~jJ-~ \tl~ R---- ~>s-C/~ I LOT # I <br />I PARCELlD#I\\-d~r~\ -OO\O-d"SOO -0\\0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~tx:5P SIGN D MOVE 0 <br /> <br />D OTHER I <br />D STEEL D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />B <br />c==J <br />c==J <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.RE.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N FEE CURRENT <br /> LIcense # <br />Y I N FEE CURRENT <br /> LIcense # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />~~::r~~E: I <br /> <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />Y/N <br /> <br />Address <br /> <br />License # I <br /> <br />~~~ fi~f~~ f;7N~ <br />S3SCfd- LIcense # Ieee l~S505 <br /> <br />OTHER <br />SIGNATURE <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Requiredonsite, Construction Plans, Stormwater Plans wi Slit Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsllarge projects <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />"'\ <br /> <br />SIGN PERMIT <br /> <br />11..11...111111111....1..11..11...111.11..11111....111..1111.111111111..........11...1111111.......11.111.11....,.........111..111...11.....1111.. <br /> <br />Directions: <br />Fill out application completely. <br />Owner 8. Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is requIred. (AlC upgrades over $5000) <br /> <br />.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />